Hospital Costs > In Florida > West Kendall Baptist Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 102 | 414 / 83 | $81.812,80 | 2457 / 106 | $15.003,70 | 2206 / 152 | $13.179,10 | 2166 / 142 |
Heart Failure & Shock W Mcc | 60 | 224 / 71 | $61.118,60 | 2216 / 105 | $10.341,40 | 1745 / 125 | $9.580,07 | 1740 / 129 |
Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 92 | $33.279,80 | 2326 / 109 | $5.151,49 | 1233 / 104 | $4.110,46 | 1224 / 98 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 104 | $30.435,30 | 2186 / 84 | $5.024,92 | 1365 / 95 | $4.021,36 | 1354 / 108 |
Pulmonary Edema & Respiratory Failure | 35 | 168 / 42 | $53.248,10 | 1818 / 86 | $8.390,46 | 1488 / 99 | $7.803,49 | 1483 / 112 |
Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 66 | $71.679,40 | 2254 / 113 | $11.069,60 | 1923 / 133 | $9.779,06 | 1923 / 134 |
Cellulitis W/O Mcc | 32 | 157 / 67 | $38.951,30 | 2391 / 131 | $5.842,62 | 1200 / 108 | $4.428,38 | 1194 / 102 |
Heart Failure & Shock W Cc | 31 | 247 / 94 | $40.886,70 | 2353 / 114 | $6.664,42 | 1734 / 110 | $6.043,00 | 1729 / 124 |
Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 83 | $56.910,30 | 2312 / 121 | $8.356,29 | 1786 / 126 | $7.412,29 | 1778 / 129 |
Renal Failure W Cc | 28 | 193 / 87 | $42.639,00 | 2113 / 113 | $6.942,89 | 1712 / 121 | $6.177,75 | 1702 / 131 |
Renal Failure W Mcc | 26 | 169 / 70 | $49.491,20 | 1571 / 70 | $11.278,40 | 1531 / 128 | $10.399,70 | 1530 / 129 |
Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 24 | $34.112,70 | 797 / 55 | $6.315,83 | 465 / 66 | $4.714,30 | 461 / 68 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 82 | $45.823,60 | 2483 / 114 | $6.621,13 | 1455 / 109 | $5.464,96 | 1449 / 108 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 60 | $39.802,00 | 1497 / 76 | $7.099,50 | 767 / 83 | $6.052,23 | 766 / 82 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 73 | $45.012,00 | 2169 / 90 | $7.377,05 | 1652 / 102 | $6.502,86 | 1645 / 116 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 84 | $33.713,30 | 1872 / 84 | $6.103,90 | 1228 / 95 | $5.195,10 | 1223 / 104 |
G.I. Hemorrhage W Cc | 20 | 198 / 85 | $40.176,00 | 1962 / 89 | $6.544,85 | 1177 / 93 | $5.551,75 | 1175 / 103 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 46 | $55.661,00 | 1189 / 38 | $12.079,10 | 848 / 76 | $11.250,50 | 838 / 77 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 50 | $115.013,00 | 1642 / 103 | $19.163,90 | 1559 / 121 | $18.289,30 | 1545 / 126 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 58 | $96.627,00 | 1865 / 105 | $13.044,20 | 1333 / 110 | $12.119,90 | 1315 / 113 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 41 | $38.947,00 | 1280 / 62 | $7.336,76 | 755 / 70 | $6.501,94 | 752 / 73 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 65 | $41.108,10 | 1784 / 126 | $5.908,56 | 1065 / 109 | $4.601,38 | 1058 / 97 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 42 | $32.145,20 | 1672 / 85 | $4.918,50 | 1166 / 91 | $3.860,50 | 1160 / 95 |
G.I. Obstruction W Cc | 16 | 76 / 42 | $36.377,80 | 1379 / 71 | $6.062,06 | 578 / 85 | $4.553,31 | 577 / 71 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 54 | $50.111,10 | 1528 / 78 | $8.849,67 | 1280 / 101 | $7.839,00 | 1277 / 103 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 12 | 552 / 123 | $106.515,00 | 2539 / 133 | $16.087,70 | 2252 / 141 | $14.973,00 | 2208 / 145 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 46 | $34.490,30 | 1010 / 53 | $6.536,09 | 794 / 79 | $5.768,09 | 790 / 88 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 33 | $38.699,20 | 660 / 44 | $8.255,36 | 512 / 58 | $7.543,36 | 510 / 62 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 37 | $42.994,00 | 873 / 58 | $7.773,91 | 670 / 72 | $7.229,91 | 668 / 78 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 44 | $42.304,80 | 1008 / 52 | $8.160,55 | 765 / 80 | $7.287,73 | 760 / 87 | Total 30 procedures | 764 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.